DR. CHARLES MATTHIAS MOUCH III M.D.
NPI 1851740583
Pain Medicine - Interventional Pain Medicine in San Marcos, TX

Active since June 03, 2016PECOS EnrolledAccepts Medicare Assignment
69.75/100
CMS Quality Rating
1304 WONDER WORLD DR, SAN MARCOS, TX 78666(855) 876-7246(855) 277-5070 Get Directions Write a Review

NPPES record last updated: March 8, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 8, 2023, Aug 3, 2021 (2 updates tracked since 2021).

About Dr. Charles Matthias Mouch Iii M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. CHARLES MATTHIAS MOUCH III M.D. (NPI 1851740583) is an individual interventional pain medicine provider in San Marcos, Texas, licensed in Texas (S9941) and active in the NPI registry since June 2016. He is enrolled in Medicare PECOS, maintains a secondary practice location in Austin, and is a graduate of University Of Texas Medical School At San Antonio (2016).

NPPES Registry Identity

NPI1851740583
Entity TypeIndividualMale
Primary Taxonomy208VP0014X
Provider Legal NameDR. CHARLES MATTHIAS MOUCH IIICredential: M.D.
Location Address1304 WONDER WORLD DRSan Marcos, TX 78666-7532
Mailing AddressPo Box 208354Dallas, TX 75320-8354 · (512) 485-7208 · Fax (844) 364-8678
Fax(855) 277-5070
Sole ProprietorNo
Medical School CMSUniversity Of Texas Medical School At San AntonioGraduated 2016
Enumeration DateJune 3, 2016
Last NPPES UpdateMarch 8, 20232 updates tracked since enumeration
NPPES CertifiedMarch 8, 2023
NPI 1851740583 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPain Medicine · Interventional Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code208VP0014X
License Licensed in TX · S9941
Definition
Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.
1304 WONDER WORLD DR, San Marcos, TX 78666

Secondary Practice Location 1

Location 14316 James Casey St Ste BAustin, TX 78745-1157 · Phone (855) 876-7246 · Fax (855) 277-5070

Other Identifiers 3

Other1S5315TX · Texas Medicare
OtherS9941TX · Texas Medical License
Other1S5318TX · Texas Medicare

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Charles Matthias Mouch Iii M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5597093039
PECOS Enrollment IDI20210809001937
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 30

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
175 services129 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
151 services151 patients
Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level 64483
This procedure involves injecting a mix of numbing and anti-inflammatory medication into a specific nerve root in the lower back. It helps manage pain and reduce inflammation. The process is guided by imaging technology for precision.
134 services117 patients
Injection of substance into lower spine canal using imaging guidance 62323
This procedure involves injecting a substance into your lower spine canal, guided by real-time images. It's done to diagnose or treat various conditions. You may feel slight discomfort, but it's generally safe and can provide valuable information for your treatment plan.
120 services101 patients
Injection of lower or sacral spine facet joint using imaging guidance, single level 64493
This procedure involves injecting medication into the facet joint in your lower back or sacral spine. It's done under imaging guidance to ensure accuracy. The aim is to alleviate pain and inflammation. It's a safe, often effective method for managing spinal discomfort.
87 services71 patients
Fluoroscopic guidance for needle placement 77002
Fluoroscopic guidance for needle placement is a medical procedure that uses a special X-ray technology to help accurately place a needle in the body. It's often used in biopsies, injections or other treatments to ensure precision and safety.
85 services64 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78666 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

69.75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.27
Promoting Interoperability99
Improvement Activities40
Cost31.74

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Radiology (Radiation Oncology)
1304 WONDER WORLD DR
SAN MARCOS, TX 78666
Durable Medical Equipment & Medical Supplies
1304 WONDER WORLD DR
SAN MARCOS, TX 78666
Radiology (Radiation Oncology)
1304 WONDER WORLD DR
SAN MARCOS, TX 78666
Radiology (Radiation Oncology)
1304 WONDER WORLD DR
SAN MARCOS, TX 78666
Nurse Practitioner (Family)
1304 WONDER WORLD DR
SAN MARCOS, TX 78666
Pain Medicine (Interventional Pain Medicine)
1304 WONDER WORLD DR
SAN MARCOS, TX 78666
Radiology (Radiation Oncology)
1304 WONDER WORLD DR
SAN MARCOS, TX 78666

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Charles Mouch's NPI number?

The NPI number for Charles Mouch is 1851740583. It was assigned to this individual provider in the NPPES registry on June 3, 2016.

Where is Charles Mouch located?

Charles Mouch practices at 1304 Wonder World Dr, San Marcos, TX 78666. The listed phone number is (855) 876-7246.

What is Charles Mouch's specialty?

The primary specialty registered for this NPI is Pain Medicine, specializing in Interventional Pain Medicine, with taxonomy code 208VP0014X.

Is Charles Mouch enrolled in Medicare?

Yes. Charles Mouch is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Charles Mouch accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 4 other insurers list Charles Mouch as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Charles Mouch was last updated on March 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.